Autism Nova Scotia

Contact Information:

Organizer’s Name *

Company Name (if applicable)

Website / URL (if applicable)

Address *

Address Line 1

City

State / Province / Region

Postal Code

Phone *

Email *

Type of Event:

Select one:

Event
Activity
Promotion
Sale of items and/or Goods

Event Name *

Event Date *

Event Location *

Expected Attendance

Event Details

Please provide a brief description of how you are fundraising.

How will your funds be raised? *

Marketing & Promotions:

How do you plan on promoting your event? *

*Please note you will need to have any graphics using the In Support of Autism Nova Scotia logo approved by one of our team members prior to any printing or promotions.

Social Media Links

Event Budget:

Estimated Revenue:

Checkboxes *

I have read, understand, and agree to the Independent Community Fundraising guidelines outlined by Autism Nova Scotia
I understand that Autism Nova Scotia will incur no legal or financial liability for this event
I understand that Autism Nova Scotia reserves the right to refuse approval, endorsement and the use of its name and logo in any event that does not meet with its fundraising policies, charitable purpose, and mission.

Host an Event

Contact Information:

Type of Event:

Marketing & Promotions:

Event Budget: